Dr. Jacob G Despain is a Cody, Wyoming based male Optometrist with 16 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jacob G Despain is 327T for Optometry in Wyoming. Dr. Jacob G Despain examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jacob G Despain speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
16+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2008
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1708 Stampede Ave, Cody, Wyoming, 82414-4829
Phone:
307-587-2404
Fax:
307-527-7368
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6406914266
Enrollment ID:
I20130611000812
NPI Number:
1124284997
NPI Enumeration Date:
31 Jul, 2008
NPI Last Update On:
27 Sep, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacob G Despain are as mentioned below.
License Number
Specialization
State
Status
327T
Optometry
Wyoming
Primary
OD60035926
Optometry
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jacob G Despain such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
135237700
Medicaid
Wyoming
W25396
Other
Wyoming
PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1708 Stampede Ave, Cody, Wyoming
Zip:
82414-4829
Phone Number:
307-587-2404
Fax Number:
307-527-7368
Patients can reach Dr. Jacob G Despain at 1708 Stampede Ave, Cody, Wyoming or can call to book an appointment on 307-587-2404. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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